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VISION SOURCE MICHAEL D. BLACKBURN, O.D.
NPI 1255316006
Optometrist in Birmingham, AL

Active since December 14, 2005CLIA 01D2082352 · Waiver
4960 VALLEYDALE RD, SUITE 201, BIRMINGHAM, AL 35242(205) 980-5152(205) 980-5154 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vision Source Michael D. Blackburn, O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION SOURCE MICHAEL D. BLACKBURN, O.D. (NPI 1255316006) is a healthcare organization registered as an optometrist in Birmingham, Alabama and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Michael D Blackburn, President Owner, as its authorized official.

NPPES Registry Identity

NPI1255316006
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOAK MOUNTAIN EYE CARE PC
Location Address4960 VALLEYDALE RD, SUITE 201Birmingham, AL 35242-4613
Mailing Address4960 Valleydale Rd, Suite 201Birmingham, AL 35242-4613 · (205) 980-5152 · Fax (205) 980-5154
Phone(205) 980-5152
Fax(205) 980-5154
Organization SubpartNo
Authorized OfficialMichael D BlackburnPresident Owner · (205) 980-5152
Enumeration DateDecember 14, 2005
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1255316006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S672TA330
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4960 VALLEYDALE RD, Birmingham, AL 35242
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Other Names 1

Doing Business AsVision Source Michael D. Blackburn, O.d.

Other Identifiers 4

Other51500011AL · Blue Cross Blue Shield
OtherP00105638Railroad Medicare
Medicare NSC5420270001AL
Medicare PIN510G700085AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2082352

Oak Mtn Eye Care PC Dba Vision Source-Dr Blackburn · Birmingham, AL
Active · expires Aug 12, 2026
CLIA Number01D2082352
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorMichael D. Blackburn
Laboratory Phone(205) 980-5152
Laboratory LocationOak Mtn Eye Care PC Dba Vision Source-Dr Blackburn4960 Valleydale Road Suite 201, Birmingham, AL 35242
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN DENTAL BIRMINGHAM, LLC
Dentist (General Practice)
4960 VALLEYDALE RD, STE 100
BIRMINGHAM, AL 35242
Shelby County (205) 991-2433
DR. MICHAEL D BLACKBURN OD
Optometrist
4960 VALLEYDALE RD, SUITE 201
BIRMINGHAM, AL 35242
Shelby County (205) 980-5152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Mountain Eye Care PC's NPI number?

The NPI number for Oak Mountain Eye Care PC is 1255316006. It was assigned to this organization in the NPPES registry on December 14, 2005. The provider is doing business as Vision Source Michael D. Blackburn, O.D..

Where is Oak Mountain Eye Care PC located?

Oak Mountain Eye Care PC is located at 4960 Valleydale Rd Suite 201, Birmingham, AL 35242. The listed phone number is (205) 980-5152.

What is Oak Mountain Eye Care PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Oak Mountain Eye Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2082352) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Mountain Eye Care PC was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.